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IRCT2014121520316N1 IRCT 2015-02-22 Shiraz University of Medical Sciences Comparison of the effect two method care: prone positioning and pron positioning with chest physiotherapy on duration of intubation in premature neonate Comparison of the effect two method care : prone positioning and pron positioning with chest physiotherapy on duration of intubation in premature neonate admitted in NICU in hazrat zainab hospital in shiraz-2015 2014-08-23 anticipated 69 Complete https://irct.ir/trial/18027 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Respiratory distress syndrom. Intervention 1: In the control group treat according to routins. Intervention 2: In the experimental group who prone positioning, two small towels were rolled and placed under infants. Knees and abdomen to prevent pressure to knees and chest .in this position, elbows bent and arms placed at the two sides of the body, while hands were placed at the two sides of head and head was placed towards ventilator tube. Fio2 , HR , O2sat check every 1 hour. Intervention 3: In the second experimental group who prone positioning whit chest physiotherapy, in addition to, prone position chest physiotherapy was done every 8 hours. Chest physiotherapy includes percussion and vibration. Percussion will be done with face masks, neonate. Vibration will be done with massager of face. HR, FIO2, RR, check every 1 hour.
public Mitra Edraki
College of Nursing and Midwifery, Nemazi square
Shiraz Iran (Islamic Republic of) +98 71 3345 1978 mitraedraki@yahoo.com Shiraz University of Medical Sciences scientific Mitra Edraki
College of Nursing and midwifery, Nemazi square
Shiraz Iran (Islamic Republic of) +98 71 3345 1978 mitraedraki@yahoo.com Shiraz University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: gestational age between 26-37 weeks; need to mechanical ventilation in 48 hours after birth; pron position of neonate with confirmation physician; no problem expect repiratory distress syndrome; all of the neonates took surfactant. Exclusion criteria: no cardiac disorder; pulmunary hemorrhage; neuromuscular disease; pneumothorax and death. 3 days 3 days Both J95-99 Other diseases of respiratory syndrom N/A Prevention Prevention In the control group treat according to routins. In the experimental group who prone positioning, two small towels were rolled and placed under infants. Knees and abdomen to prevent pressure to knees and chest .in this position, elbows bent and arms placed at the two sides of the body, while hands were placed at the two sides of head and head was placed towards ventilator tube. Fio2 , HR , O2sat check every 1 hour. In the second experimental group who prone positioning whit chest physiotherapy, in addition to, prone position chest physiotherapy was done every 8 hours. Chest physiotherapy includes percussion and vibration. Percussion will be done with face masks, neonate. Vibration will be done with massager of face. HR, FIO2, RR, check every 1 hour. Fio2. Timepoint: Eevery 1 Hour. Method of measurement: Monitoring and Arteial blood gas. Pco2. Timepoint: Twice a day. Method of measurement: Blood gas. Heart rate. Timepoint: Eevery 1 Hour. Method of measurement: Cardiac monitoring. Raspiratory rate. Timepoint: Twice a day. Method of measurement: Monitoring. O2Sat. Timepoint: Eevery 1 Hour. Method of measurement: Monitoring. Parameters of mechanical ventilator. Timepoint: two time in day. Method of measurement: monitor of mechanical ventilator. Shiraz University of Medical Sciences Approved 2014-09-23 Ethics Committe of Shiraz University of Medical Sciences Cetral Bulding of Shiraz University of Medical Sciences, Zand street Shiraz Iran (Islamic Republic of)